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v1.0.0
ICD-10 Guide
ICD-10 CodesQ75.0

Q75.0

Billable

Craniosynostosis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q75.0 is a billable code used to indicate a diagnosis of craniosynostosis.

Key Diagnostic Point:

Craniosynostosis is a congenital condition characterized by the premature fusion of one or more cranial sutures, which can lead to abnormal head shape and potential intracranial pressure. This condition can occur as an isolated anomaly or as part of a syndrome, such as Apert syndrome or Crouzon syndrome. The fusion of sutures restricts skull growth in the direction perpendicular to the fused suture, resulting in compensatory growth in other areas of the skull. Clinically, craniosynostosis may present with a misshapen head, developmental delays, and in some cases, neurological impairment. Diagnosis is typically made through physical examination and imaging studies, such as CT scans, which can provide detailed views of the skull and suture involvement. Treatment often involves surgical intervention to correct the skull shape and allow for normal brain growth. Early diagnosis and management are crucial to minimize complications associated with increased intracranial pressure and to support normal cognitive development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of craniosynostosis (e.g., sagittal, coronal, metopic, lambdoid)
  • Identifying associated syndromic conditions
  • Understanding the implications of surgical interventions
  • Documenting the timing and nature of surgical procedures

Audit Risk Factors

  • Inadequate documentation of the specific type of craniosynostosis
  • Failure to document associated syndromic conditions
  • Misclassification of the condition as a non-congenital anomaly
  • Inaccurate coding of surgical procedures related to craniosynostosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, family history, and physical examination findings.

Common Clinical Scenarios

Infants presenting with abnormal head shape, developmental delays, or increased intracranial pressure.

Billing Considerations

Consideration of the timing of diagnosis and intervention, as well as the potential for associated developmental issues.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and syndromic associations.

Common Clinical Scenarios

Patients with craniosynostosis being evaluated for syndromic conditions or genetic counseling.

Billing Considerations

Understanding the genetic basis of syndromic craniosynostosis and the implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q75.0 When
  • 10 coding guidelines for congenital conditions emphasize the need for specificity in documenting the type of craniosynostosis and any associated conditions
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use Q75.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61595CPT Code

Cranial vault remodeling

Clinical Scenario

Used in surgical correction of craniosynostosis.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Pediatric surgical documentation must include pre-operative assessments and post-operative follow-up.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding craniosynostosis, enabling better tracking of outcomes and resource allocation for treatment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding craniosynostosis, enabling better tracking of outcomes and resource allocation for treatment.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding craniosynostosis, enabling better tracking of outcomes and resource allocation for treatment.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Craniosynostosis

Coding & Billing References

  • •
    American Academy of Pediatrics - Craniosynostosis

Frequently Asked Questions

What is the importance of specifying the type of craniosynostosis?

Specifying the type of craniosynostosis is crucial for accurate coding, treatment planning, and understanding the potential for associated syndromic conditions. It also impacts the surgical approach and follow-up care.